End-of-Life Care Preparedness Program for Senior Nursing Students

December 2, 2025 updated by: Hilal ALTUNDAL DURU

End-of-Life Care Preparedness Program for Senior Nursing Students: Effects on Attitudes and Self-Efficacy in a Randomized Controlled Trial

In this study, between 1 April- 31 May 2025, who met the inclusion and exclusion criteria, a total of 59 senior nursing students who are with 4th year nursing students starting the Nursing Department of Çankırı Karatekin University and Sakarya Applied Sciences University.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The End-of-Life Care Preparedness Program will be held in a online environment for the students in the intervention group. This training program has been developed based on the literature. The primary aim of the program was to enable participants to recognize their own thoughts and emotions about death, and to support their development in key areas of end-of-life care. Specifically, the content addressed providing care to dying individuals, caring for the deceased person, preparing the body after death, and offering psychosocial support to the bereaved family. The intervention consisted of four weekly sessions, each lasting approximately 90 minutes, delivered in an online group format via online. The training program will be applied to 29 senior nursing students in the intervention group. The sessions were structured to include psychoeducational content, interactive exercises, group discussions, and opportunities for reflection.

Study Type

Interventional

Enrollment (Actual)

59

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Turkey (Türkiye)
    • Center
      • Çankırı, Center, Turkey (Türkiye), 18100
        • Çankırı Karatekin University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • final-year nursing students
  • consent to take part voluntarily
  • accessed to the required technology and competencies for attending online sessions

Exclusion Criteria:

  • failed to complete the data collection tools in full
  • missed intervention sessions
  • chosed to withdraw at any point during the intervention or follow-up phase

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Supportive Care
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Intervention
The End-of-Life Care Preparedness Program will be held in a online environment for the students in the intervention group. This training program has been developed based on the literature. The primary aim of the program was to enable participants to recognize their own thoughts and emotions about death, and to support their development in key areas of end-of-life care. Specifically, the content addressed providing care to dying individuals, caring for the deceased person, preparing the body after death, and offering psychosocial support to the bereaved family. The intervention consisted of four weekly sessions, each lasting approximately 90 minutes, delivered in an online group format via online. The training program will be applied to 29 senior nursing students in the intervention group. The sessions were structured to include psychoeducational content, interactive exercises, group discussions, and opportunities for reflection.
Other: The End-of-Life Care Preparedness Program
The End-of-Life Care Preparedness Program will be held in a online environment for the students in the intervention group. This training program has been developed based on the literature. The primary aim of the program was to enable participants to recognize their own thoughts and emotions about death, and to support their development in key areas of end-of-life care. Specifically, the content addressed providing care to dying individuals, caring for the deceased person, preparing the body after death, and offering psychosocial support to the bereaved family. The intervention consisted of four weekly sessions, each lasting approximately 90 minutes, delivered in an online group format via online. The training program will be applied to 29 senior nursing students in the intervention group. The sessions were structured to include psychoeducational content, interactive exercises, group discussions, and opportunities for reflection.
No Intervention: Control
There will be no training or intervention.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Frommelt Attitudes Toward Care of the Dying Scale (FATCOD)
Time Frame: Change from before education (Time 0) and after education (four weeks-Time 1) up to after the at the end of the education one month later (Time 2).
The FATCOD, originally developed by Frommelt (1991), was used to assess participants' attitudes toward caring for dying patients. The Turkish adaptation and validation of the scale was conducted by Çevik and Kav (2013). The scale contains 30 items rated on a 5-point Likert scale and includes both positively and negatively worded statements. Negative items are reverse-coded before computing the total score, which ranges from 30 to 150, with higher scores indicating more positive attitudes toward caring for dying patients. In the Turkish validation study, the Cronbach's alpha reliability coefficient was reported as 0.73.
Change from before education (Time 0) and after education (four weeks-Time 1) up to after the at the end of the education one month later (Time 2).
End-of-Life and Postmortem Self-Efficacy Scale (ELPSES)
Time Frame: Change from before education (Time 0) and after education (four weeks-Time 1) up to after the at the end of the education one month later (Time 2).
This instrument was evaluate nursing students' self-efficacy regarding end-of-life and postmortem care. The scale consists of 18 items and is formatted as a visual analog scale. For each item, participants indicate their perceived level of self-efficacy on a continuum from 0 (not confident at all) to 100 (extremely confident) using a slider mechanism. The overall self-efficacy score is calculated by averaging responses across items. In the original development study, the Cronbach's alpha for the scale was reported as 0.93.
Change from before education (Time 0) and after education (four weeks-Time 1) up to after the at the end of the education one month later (Time 2).

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Hilal ALTUNDAL DURU

Investigators

  • Principal Investigator: Hilal ALTUNDAL DURU, PhD, Çankırı Karatekin University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

April 1, 2025

Primary Completion (Actual)

May 31, 2025

Study Completion (Actual)

June 30, 2025

Study Registration Dates

First Submitted

November 20, 2025

First Submitted That Met QC Criteria

November 20, 2025

First Posted (Estimated)

December 2, 2025

Study Record Updates

Last Update Posted (Estimated)

December 9, 2025

Last Update Submitted That Met QC Criteria

December 2, 2025

Last Verified

December 1, 2025

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • KaratekinU

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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